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唇腭裂一期矫治的胚胎学原理

Embryonic rationale for the primary correction of classical congenital clefts of the lip and palate.

作者信息

Millard D R

机构信息

Division of Plastic Surgery, University of Miami School of Medicine, Florida.

出版信息

Ann R Coll Surg Engl. 1994 May;76(3):150-60.

PMID:8017808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2502314/
Abstract

Primary correction of congenital clefts of the lip and palate should be designed to carry the interrupted embryonic process to normal completion. This is best accomplished by maxillary alignment with presurgical orthodontics, stabilisation of the maxillary alignment, obliteration of the alveolar cleft and construction of the nasal floor with periosteoplasty. This allows early construction of the lip by rotation and advancement and correction of the nose with columella lengthening, alar cartilage positioning and alar base cinching. This can be accomplished before school age.

摘要

先天性唇腭裂的一期矫治应旨在使中断的胚胎发育过程正常完成。这最好通过术前正畸使上颌对齐、稳定上颌对齐、封闭牙槽裂以及通过骨膜成形术构建鼻底来实现。这允许通过旋转和推进早期修复唇部，并通过延长鼻中隔、定位鼻翼软骨和收紧鼻翼基部来矫正鼻子。这可以在学龄期前完成。

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引用本文的文献

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本文引用的文献

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The pathogenesis of harelip and cleft palate.
Plast Reconstr Surg (1946). 1954 Jan;13(1):20-39. doi: 10.1097/00006534-195401000-00003.
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A preliminary report on one stage open tip rhinoplasty at the time of lip repair in bilateral cleft lip and palate: the Alor Setar experience.双侧唇腭裂唇修复同期一期开放式鼻尖成形术的初步报告：亚罗士打经验
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Development of the cleft lip nose.唇裂鼻的发育
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Mesenchyme formation from the trigeminal placodes of the mouse embryo.
Am J Anat. 1986 May;176(1):19-31. doi: 10.1002/aja.1001760103.
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Aesthetic considerations related to repair of the bilateral cleft lip nasal deformity.与双侧唇裂鼻畸形修复相关的美学考量。
Br J Plast Surg. 1988 Nov;41(6):593-607. doi: 10.1016/0007-1226(88)90167-1.
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Improved primary surgical and dental treatment of clefts.唇腭裂一期外科手术及牙科治疗的改进。
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Maxillary arch alignment in the bilateral cleft lip and palate infant, using pinned coaxial screw appliance.
Plast Reconstr Surg. 1975 Jul;56(1):52-60. doi: 10.1097/00006534-197507000-00011.